Provider Demographics
NPI:1083824080
Name:INJURY DOCUMENTATION CONSULTANTS, INC.
Entity Type:Organization
Organization Name:INJURY DOCUMENTATION CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:BARRITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-372-7070
Mailing Address - Street 1:1015 STATE HIGHWAY 115
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PENROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81240-9399
Mailing Address - Country:US
Mailing Address - Phone:719-372-7070
Mailing Address - Fax:719-372-0909
Practice Address - Street 1:1015 STATE HIGHWAY 115
Practice Address - Street 2:SUITE 5
Practice Address - City:PENROSE
Practice Address - State:CO
Practice Address - Zip Code:81240-9399
Practice Address - Country:US
Practice Address - Phone:719-372-7070
Practice Address - Fax:719-372-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4339111N00000X
CO4562111N00000X
CO17160207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty